City Base Pediatric Dentistry, PLLC
City Base Pediatric Dentistry, PLLC was paid $1.48M by Medicaid between Apr 2021 and Dec 2024, across 22 billing codes. Its largest line is D0145, Oral evaluation for a patient under three years of age — 43% of everything it billed.
SAN ANTONIO, TX 78223
Next to other Pediatric Dentist providers in Texas
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 3,830 | $101K | |
| 2022 | 13,058 | $401K | |
| 2023 | 17,675 | $497K | |
| 2024incomplete | 17,683 | $484K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0145 | Oral evaluation for a patient under three years of age | 43% | 4,628 | 4,580 | $636K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 4,503 | 4,448 | $153K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.6% | 3,022 | 2,990 | $83K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.3% | 2,431 | 2,391 | $79K |
| D0230 | Intraoral - periapical each additional radiographic image | 5.2% | 7,651 | 4,048 | $77K |
| D1206 | Topical application of fluoride varnish | 5.0% | 5,406 | 5,340 | $74K |
| D0272 | Bitewings - two radiographic images | 4.6% | 3,234 | 3,190 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.8% | 595 | 347 | $56K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 4,848 | 4,737 | $56K |
| D1351 | Sealant - per tooth | 3.3% | 1,956 | 475 | $48K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.9% | 335 | 132 | $43K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.1% | 1,185 | 1,098 | $31K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 352 | $26K |
| D0274 | Bitewings - four radiographic images | 1.5% | 719 | $22K |
| D1110 | Prophylaxis - adult | 1.4% | 394 | $20K |
| D0330 | Panoramic radiographic image | <1% | 232 | $5K |
| D1354 | <1% | 174 | $2K | |
| D9248 | <1% | 14 | $1K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 55 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 13 | $701.84 |
| D0270 | <1% | 39 | $186.20 | |
| D0603 | 0% | 10,460 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Lytle Pediatric Dentistry, PLLC | Lytle, TX | $5.62M |
| Tots to Teens Pediatric Dentistry | Laredo, TX | $3.08M |
| Kerrville Pediatric Dentistry, PLLC | Kerrville, TX | $3.01M |
| Rittiman Pediatric Dentistry, PLLC | San Antonio, TX | $3.01M |
| Culebra Pediatric Dentistry, PLLC | San Antonio, TX | $2.84M |
| Alamo Heights Dentistry for Children, PLLC | San Antonio, TX | $2.31M |
| Pleasanton Children's Dentistry | Pleasanton, TX | $1.64M |
| Helotes Pediatric Dentistry, PLLC | San Antonio, TX | $1.15M |
| Cibolo Pediatric Dentistry, PLLC | Cibolo, TX | $721K |
| Shaenfield Pediatric Dentistry, PLLC | San Antonio, TX | $514K |
| Murrieta Primary Care Clinic Joanna Ayala M D | Murrieta, CA | $265K |
| Stone Oak Children's Dentistry, PLLC | San Antonio, TX | $82K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.